- AdventHealth (Orlando, FL)
- …Medical Directors and/or discusses cases with payer representatives to facilitate claim resolution and build payer relationships when needed Report and collaborates ... and share observations and provider improvement opportunities. Collaborates with Medical Director (s) to review and provide insight regarding medical guidelines and… more
- HCA Healthcare (Miramar, FL)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... surgery center patients. Under the supervision of the CBO Director or Business Office Manager, you will be responsible...+ You will verify patient eligibility, authorizations, benefits, and claim information with insurance companies and 3 rd party… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …which reports administratively to the Chief of Staff (COS) with the Facility Director as secondary supervisor. The incumbent serves as Chief of Credentialing and ... Adjunct faculty position at an affiliated school is also expected. Preferred Experience: Leadership / Executive level experience preferred . Reference:… more
- CVS Health (Tallahassee, FL)
- …oversee complex coding reviews and resolve intricate issues with sensitivity, including claim reviews for legal, compliance, or rework projects. + Ensure staff ... contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop...interpret data. + Demonstrates strong communication and leadership skills. ** Preferred Qualifications:** + A minimum of 2 years of… more
- Cardinal Health (Tallahassee, FL)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Molina Healthcare (Orlando, FL)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- MyFlorida (Tallahassee, FL)
- …the processing of returned checks resulting from premium or prescription claim adjustments. Responsible for overseeing the development and implementation of training ... for improvement. Document findings and make recommendations to the ADAP Director for planning, implementation, and quality improvement. Provides weekly and monthly… more
- MyFlorida (St. Augustine, FL)
- …and education must be verifiable. Please attach any credentials you claim (degree, certifications, etc.) to your application. *Other vacant positions, including ... to, a Level II background check and drug test. PREFERRED QUALIFICATIONS : + High school diploma or GED....will work under the supervision of the Food Service Director and the Food Service Administrator in the day-to-day… more
- MyFlorida (Port Saint Lucie, FL)
- …and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. ** MINIMUM QUALIFICATIONS: + ... limited to, a national background investigation and drug test. PREFERRED QUALIFICATIONS: + Experience with food service in a...will work under the supervision of the Food Service Director with direct supervision from Food Production and Services… more
- MyFlorida (Port Charlotte, FL)
- …employment history must be verifiable. Please attach any credentials you claim (degree, certifications, etc.) to your application. *Other vacant positions/shifts, ... to include a Level II Background and drug screen. PREFERRED QUALIFICATIONS: + Experience in long-term care or 120...Works under the direct supervision of the Executive Nursing Director (DON). Supervise and direct nursing personnel on an… more